Disclosure of Prior DFC Funding.docx

This is a disclosure form required for applicants to the Drug-Free Communities (DFC) Support Program Competing Continuation (Year 6) grant opportunity. Applicants must certify whether their coalition has received prior DFC funding and, if applicable, provide comprehensive documentation of all previous awards. The form requires coalitions to indicate their funding history status through a checklist, specify the number of years previously funded (if applicable), and complete a detailed disclosure table listing fiscal year(s) of funding, DFC grant award numbers, current and former fiscal agent names, coalition name and state, and names of key personnel including the Program Director/Principal Investigator and Project Coordinator. The completed form must be signed and dated by the legal applicant with an attestation that all information provided is true and correct, including the applicant's name, signature, title, and organization/agency affiliation.

This disclosure requirement applies to the FY 2026 DFC Support Program, which is administered by the Department of Health and Human Services Centers for Disease Control and Prevention (CDC) under CFDA Number 93.276. The competing continuation category is specifically designed for coalitions that have completed their initial five-year funding cycle or experienced a lapse in funding. Applicants must demonstrate their coalition's eligibility and funding history as part of the application process to ensure program continuity and accountability across successive funding cycles.